Metropolitan Neopediatrix
Doctors Tips
2222 W. Division St., Suite 330
Chicago, IL 60622

Tel: 773-227-0111
 Age Services  Age Services
 1 week Office visit
Hepatitis B #1
 2-2 ½ years Office visit
**PPD
 2 months Office visit
IPV #1***
DPaT #1
HiB #1
Prevnar
 3 years Office visit
Hematocrit
Urine
 4 months Office visit
IPV #2
DPaT #2
HiB #2
Prevnar (optional)
 4 years Office visit
Half of the 5 year shots
 6 months Office visit
DPaT #3
HiB #3
Prevnar
 5 years Office visit
IPV #4
DPaT #5
**PPD
MMR #2
 9 months Office visit
*Hepatitis B #2
Hematocrit
 7 years Office visit
Hematocrit
Urine
 12 months Office visit
*Hepatitis B #3
MMR #1
Varicella vaccine
 Entering 5th  grade &  Freshman year
 of high school
Office visit
Hematocrit
**PPD
Urine
Td (Freshman year of HS)
15 months

 

Office visit
IPV #3
DpaT #4/HiB #4
Prevnar

Pre-
Collegiate
Physical
Office visit
Full cholesterol screening
Comprehensive blood tests
Meningococcal vaccine

 

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Doctor's Tips 4

Directions

Dr. Samir Wassef

*Hepatitis B vaccines may be given in teen years if not received earlier.
**Tuberculosis test may need to be sooner if a child is in day care or if you travel to
countries where tuberculosis is prevalent.
***The Academy of Pediatrics has recommended an all IPV schedule as of January 2000.
·Asthma check-ups should be scheduled at a minimum of every six months.
·Children with ADHD and on Ritalin need consultations and height/weight checks every six months; blood work once a year.
·Sports physicals will need to be renewed annually.

 Is That Normal?
 All of the following things are normal in the early newborn period, but sometimes      worrisome to new parents.
4Pimples, dry skin and mild rashes.
4Lumps under a baby's nipple.
4Mucusy or bloody vaginal discharge.
4Rusty red discoloration in the urine.
4Regurgitating (spitting-up) after feedings.
4Hiccups.
4Occasional coughing to clear the throat.
4Sleeping up to 18 hours per day.
4Brief episodes of rapid, non-labored breathing.
4Day and night "confusion."
4Sneezing and nasal congestion with normal breathing.
4Straining during bowel movements.
4
Quivering or trembling briefly when cold.

 Why don't we give antibiotics for colds?
 There are many different viruses around us, some causing severe illness, and some  much less serious, like the common cold.
 Colds are viral infections (not bacterial) characterized by congestion in the head  and often the chest as well as low fevers, loss of appetite, mild coughing and often  a miserable attitude. In school age children colds usually last five to seven days,  but in infants and toddlers, whose immune systems have not "seen" many germs,  the symptoms can linger for 3 to 4 weeks. Antibiotics are not prescribed for colds or  viral illnesses in general.


 What diseases do vaccines prevent?
 Immunizations protect children against —
4 Diphtheria
4Tetanus (Lockjaw)
4Pertussis (Whooping cough)
4Polio
4Measles
4Mumps
4Rubella (German measles)
4Haemophilus Influenzae Type B (Hib)
4Hepatitis B
4Varicella (Chickenpox)

 Click here to find State of Illinois Vaccine Requirements for School Entry
 Click here for Vaccine Information Statements in English and Spanish.

 Diarrhea - When to Seek Medical Attention
 Diarrhea is a nonspecific symptom, meaning it can be caused by a variety of  conditions. Some of these are benign and likely to pass without intervention, like  stomach flu, while others far more concerning. Here is a list of circumstances  and/or symptoms associated with diarrhea that warrant prompt medical attention:
4Worsening pain in the abdomen, back or pelvis
4High fevers (over 103° Fahrenheit) that you cannot bring down
4Poison or improper medication ingestion
4Bloody diarrhea, especially when associated with high fevers or pain
4Severe lethargy that occurs without fever or that does not improve despite giving  fluids or keeping fevers under control
4Inconsolability that occurs without fever or that does not improve despite giving  fluids or keeping fevers under control
4No urine for over 8 hours in the presence of frequent vomiting, diarrhea or  uncontrolled fevers
.

   


The health of your children is in good hands!
Tel: 773-227-0111